DR. SAPNA T REDDY (MD) – Gastroenterology Physician, NPI 1023015708
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 GASTROENTEROLOGY in OH
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Provider Addresses for DR. SAPNA T REDDY (MD)
4235, Secor Road, Deaveaux, Toledo, Lucas County, Ohio, 43623, United States
TOLEDO, OH 436234231
Phone: (419) 479-5455
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $474.
Total Amount is formed as General ($474) + Research ($0) + Ownership ($0) = $474.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($225).
Total Amount
$474
General + Research + Ownership
Payments
31
Total payment records
General Amount
$474
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $225 |
| Gilead Sciences, Inc. | $169 |
| Celgene Corporation | $50 |
| IRONWOOD PHARMACEUTICALS, INC | $18 |
| Mauna Kea Technologies, Inc. | $12 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060105000096 | I | Gastroenterology | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 241 | 236 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 204 | 203 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 84 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 58 | 58 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 54 | 54 | $0 |
Insurance plans in this area (ZIP 43623)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | OH | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 20 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OH | |
| U R O L O G Y | OH | |
| Pulmonary Disease, Critical Care (Intensivists) | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Orthopedic Surgery | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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